De Quervain Syndrome
Conditions
Brief summary
This study is a randomised control trial and the purpose of this study is to compare the effects of Sub-maximal Voluntary Isometric Training vs Eccentric Training in Management of De Quervain Tenosynovitis
Detailed description
Participants will be recruited into their respective groups using a coin toss method. De Quervain Tenosynovitis will be assessed using the following tests: 1. Wrist hyperflexion and abduction of thumb (WHAT) test 2. Finkelstein's / Eichhoff's test 3. De Quervain Screening Tool
Interventions
PROCEDUREIsometric training of thumb muscles
Isometric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using manual resistance and progress with training against resistance of elastic band and theraband.I
PROCEDUREEccentric training for thumb muscles
In Group B, eccentric training for thumb extension, abduction, radial and ulnar deviation will be performed in 3 sessions/ week for 4 weeks. The exercise protocol will begin with training using unweighted and weighted hammer curls and progress with training using elastic band, dumbbell and theraband.
PROCEDUREUltrasound
Therapeutic ultrasound for symptom management
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized Control Trial
Eligibility
Sex/Gender
ALL
Age
21 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patients having history of pain, tenderness in thumb region from 3 weeks or more * Age 21-50 * Both genders * Individuals meeting the diagnostic criteria i.e. * A score of 3 or more out of 7 on De Quervain screening tool. * Positive Wrist hyperflexion and abduction of thumb (WHAT) test * Positive Finkelstein's / Eichhoff's test
Exclusion criteria
* Diagnosed cases of Osteoarthritis of 1st CMC joint and Rheumatoid arthritis * C6 cervical radiculopathy * Any systemic inflammatory condition like septic arthritis * Carpal Tunnel Syndrome * Complex regional pain syndrome * Previous surgery impacting the first extensor compartment of the wrist * Corticosteroid injection in the radial wrist region within 3 months of enrolment into the study * If patient had undergone isometric thumb exercises or any strengthening protocol lasting greater than 2 weeks for the management of their current episode of de Quervain's syndrome
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Grip Strength measurement | 4 weeks | Power grip strength will be measured using hand held dynamometer and pinch grip strength will be measured using Modified sphygmomanometer |
Countries
Pakistan
Contacts
Primary ContactZahra Nayyer, MS-MSKPT*
Outcome results
None listed